ELLA SHIN DNP-FNP
NPI 1508482035
Nurse Practitioner in Chicago, IL

Active since June 20, 2020
1945 N HALSTED ST, 101, CHICAGO, IL 60614(872) 245-6863 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Sep 29, 2022, Jan 20, 2022 and 1 more (4 updates tracked since 2020).

About Ella Shin Dnp-fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLA SHIN DNP-FNP (NPI 1508482035) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209023655) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1508482035
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELLA SHINCredential: DNP-FNP
Location Address1945 N HALSTED ST, 101Chicago, IL 60614
Mailing Address1945 N Halsted St, 101Chicago, IL 60614 · (872) 245-6863
Sole ProprietorNo
Enumeration DateJune 20, 2020
Last NPPES UpdateMay 30, 20244 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
NPI 1508482035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209023655
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1945 N HALSTED ST, Chicago, IL 60614

Other Names 1

Former Name (1)Ella Susanna Wagner

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ella Shin's NPI number?

The NPI number for Ella Shin is 1508482035. It was assigned to this individual provider in the NPPES registry on June 20, 2020. The provider is also known as Ella Susanna Wagner.

Where is Ella Shin located?

Ella Shin practices at 1945 N Halsted St 101, Chicago, IL 60614. The listed phone number is (872) 245-6863.

What is Ella Shin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Ella Shin was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.